48. SPORTS MEDICINE MARCH 2014
ide 1 Sgpcenite
‘Student Name:
Evaluator’s Name: _
| you would ask in each part of the History section
Oral Examination
27S,
= semen! 7: 34
AS
198
Previous injury
Part I: 4-8 questions
Mechanism of ‘Mechanism of
injury: Chronic
‘Symptoms
Appropriate
| injury: Acute
‘Appropriate Appropriate
questions. 2 | questions_Q-_/2
‘Appropriate
questions_ 272
questions_ 2
Part II: Explain the following conditions you might observe
1. Genu recurvatum
Correctly identified condition:
eis
Notes:
2. squinting patella
|Sae identified condition:
15
|
Notes:
3.
coun SET el
15
Notes:
4. Observation from Scenario
ee identified any abnormalities:
15
Observed bilaterally aay)
Notes:Oral Examination
MARCH 2014
ADY. SPORTS MEDICINE
Part III. Palpate the following bony str
that bony structure as a landmark:
1. Fibular head
[ Coy palpated identified structure:
ctures and 1 soft tissue structure for which
Correctly palpated one of the following
structures (please circle the fe the
15
Notes:
2. Tibial plateau
Correctly palpated identified structure:
een 5)
student identified):
Bicep? Gene?
Correctly palpated one of the following |
structures (please circle the structure the
student identified) eames
| My menrd Go 3
Notes:
3. Lateral femoral epicondyle or condyle
Correctly palpated identified stuctare: Correctly palpated one of the following
15 structures (please circle the strycture the
student identified): ae 3 IS
Notes:
4, posterior tibia
Correctly palpated identified structure:
ois
Correctly palpated one of the following
structures (please circle the structure the
student identified): 5ADV. SPORTS MEDICINE
|
b
5. patella
| Correctly palpated identified structure:
ois
|
L
MARCH 2014
Oral Examination
Correctly palpated one of the following
structures (please circle the structure the
student identified) eam fs,
Notes:
Part IV. State the purpose (positive findings) for the following special tests, and
then perform each test for the examiner.
1,_Varus Stress test
Purpose of test: | Correct position of _] Correct position of _] Correct application
examiner: patient: of force:
Ap faint a 12 mn
Note:
2. Clarke's sign
Purpose of test: Correct position of | Correct position of | Correct application
examiner: patient: of force:
hed he Qe Sera af, Sa
Note:Oral Examination
4
ADV.SPORTS MEDICINE MARCH 201
3._Anterior Drawer Correct application
Tapas GE teats a | Gonreck position Olney | (apetect posit OCLC [pears
examin patient:
a 12 Be
eee p12 12 Ate ——— eee
Note:
4. Lachman’s (reg. , modified, or reverse) a
Purpose of test: | Correct position of | Correct position of | Correct application
examiner: patient: of force:
ap eae ave) ie
| Note:
5._Apley’s Compression
Purpose of test: Correct position of | Correct position of _ | Correct application
examiner: patient: of force:
te oa Fn Lp
Note:
Proper position of Correct application | Correct length of
examiner of force time
/2 12 es 2
Note:Oral Examination
ADV. SPORTS MEDICINE MARCH 2014
7. Dermatome S1
{ Purpose of test: Proper position of | Correct application | Correct lengttrof
examiner of force time
12 Orn Pena tp
Note:
8. Dorsalis pedis pulse
Purpose of test: | Proper position of _ | Correct application | Correct length of
examiner of force time
Oa /2 iL pany ap
Note: